# VITA HOME HEALTH CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Personal Care Agency
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790401503
- **Authorized official:** MOWLID MOHAMED (ADMIN)
- **Authorized official phone:** (701) 215-9232

## Contact information

- **Practice address:** 14211 E 4TH AVE \# 3-245, AURORA, CO 80011-8736
- **Practice address phone:** (701) 215-9232
- **Mailing address:** 14211 E 4TH AVE \# 3-245, AURORA, CO 80011-8736
- **Mailing address phone:** (701) 215-9232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/13/2022
- **Last updated:** 10/13/2022
